title: Patients' attitudes about the use of placebo treatments: telephone survey.
abstract: OBJECTIVE
  To examine the attitudes of US patients about the use of placebo treatments in medical care.
  
  
  METHODS
  One time telephone surveys.
  
  
  METHODS
  Northern California.
  
  
  METHODS
  853 members of Kaiser Permanente Northern California, aged 18-75, who had been seen by a primary care provider for a chronic health problem at least once in the prior six months.
  
  
  RESULTS
  The response rate was 53.4% (853/1598) of all members who were eligible to participate, and 73.2% (853/1165) of all who could be reached by telephone. Most respondents (50-84%) judged it acceptable for doctors to recommend placebo treatments under conditions that varied according to doctors' level of certainty about the benefits and safety of the treatment, the purpose of the treatment, and the transparency with which the treatment was described to patients. Only 21.9% of respondents judged that it was never acceptable for doctors to recommend placebo treatments. Respondents valued honesty by physicians regarding the use of placebos and believed that non-transparent use could undermine the relationship between patients and physicians.
  
  
  CONCLUSIONS
  Most patients in this survey seemed favorable to the idea of placebo treatments and valued honesty and transparency in this context, suggesting that physicians should consider engaging with patients to discuss their values and attitudes about the appropriateness of using treatments aimed at promoting placebo responses in the context of clinical decision making.
authors.affiliation: Office of the Clinical Director, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA. shull@mail.nih.gov
authors.forename: Sara Chandros
authors.initials: SC
authors.lastname: Hull
authors.forename: Luana
authors.initials: L
authors.lastname: Colloca
authors.forename: Andrew
authors.initials: A
authors.lastname: Avins
authors.forename: Nancy P
authors.initials: NP
authors.lastname: Gordon
authors.forename: Carol P
authors.initials: CP
authors.lastname: Somkin
authors.forename: Ted J
authors.initials: TJ
authors.lastname: Kaptchuk
authors.forename: Franklin G
authors.initials: FG
authors.lastname: Miller
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010919:Placebos / Q000627:therapeutic use*; D035502:Trust; D055815:Young Adult
chemical_list: D010919:Placebos